Jeremiah Southworth is a mental health counselor in Provo, UT. Jeremiah Southworth NPI is 1104223593. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
750 N FREEDOM BLVD
PROVO, UT
ZIP 84601-677
Phone: (801) 373-4760
Fax: (801) 373-0639
The enumeration date for this NPI number is 12/1/2014 and was last updated on 5/7/2020.